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Washington, DC rates for HCPCS L6615

Upper extremity addition, disconnect locking wrist unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.34 / $131.34 / $131.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.34 / $131.34 / $131.34
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.00 / $132.00 / $132.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.16 / $128.16 / $128.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.16 / $160.16 / $489.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.95 / $122.93 / $210.11